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首页> 美国卫生研究院文献>The Journal of Manual Manipulative Therapy >To Run or Not to Run: A Post-Meniscectomy Qualitative Risk Analysis Model for Osteoarthritis When Considering a Return to Recreational Running
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To Run or Not to Run: A Post-Meniscectomy Qualitative Risk Analysis Model for Osteoarthritis When Considering a Return to Recreational Running

机译：跑步还是不跑步：考虑恢复娱乐性跑步时半月板切除术后骨关节炎的定性风险分析模型

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摘要

The increased likelihood of osteoarthritic change in the tibiofemoral joint following meniscectomy is well documented. This awareness often leads medical practitioners to advise patients previously engaged in recreational running who have undergone meniscectomy to cease all recreational running. This literature review examines the following questions: 1) Is there evidence to demonstrate that runners, post-meniscectomy, incur a great enough risk for early degenerative OA to cease all running? 2) Does the literature yield risk factors for early OA that would guide a physical therapist with regard to advising the post-meniscectomy patient contemplating a return to recreational running? Current literature related to meniscal structure and function, etiology and definition of osteoarthritis, methods for assessing osteoarthritis, relationship between running and osteoarthritis, and relationship between meniscectomy and osteoarthritis are reviewed. This review finds that while the probability for early osteoarthritis in the post-meniscectomy population is substantial, it is a probability and not a certainty. To help guide a physical therapist with regard to advising the patient for a safe return to running following a meniscectomy, a qualitative risk assessment based on identified risk factors for osteoarthritis in both the running and the post-meniscectomy populations is proposed.
机译：半月板切除术后，胫股关节中骨关节炎改变的可能性增加。这种认识通常会导致医生建议那些曾经进行过休闲运动的，经过半月板切除术的患者停止所有休闲运动。这篇文献综述探讨了以下问题：1）是否有证据表明，半月板切除术后跑步者发生早期退行性OA的风险很高，以致其无法继续运转？ 2）文献是否提供了早期OA的危险因素，可以指导物理治疗师建议半月板切除术后的患者考虑恢复休闲运动？综述了有关半月板结构和功能，骨关节炎的病因和定义，骨关节炎的评估方法，跑步与骨关节炎之间的关系以及半月板切除术与骨关节炎之间的关系的文献。这篇评论发现，尽管半月板切除术后人群发生早期骨关节炎的可能性很大，但这是一个可能性而不是确定性。为了帮助指导理疗师建议半月板切除术后患者安全返回跑步状态，建议在跑步和半月板切除术后人群中基于已确定的骨关节炎危险因素进行定性风险评估。

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